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Title: Treatable traits models of care.
Austin Authors: McDonald, Vanessa M;Holland, Anne E 
Affiliation: Centre of Excellence in Treatable Traits, National Health and Medical Research Council, Newcastle, New South Wales, Australia.
Department of Immunology, Respiratory Research@Alfred, Monash University, Melbourne, Victoria, Australia.
Institute for Breathing and Sleep, Melbourne, Victoria, Australia.
Physiotherapy, Alfred Health, Melbourne, Victoria, Australia.
Issue Date: Jan-2024
Date: 2023
Publication information: Respirology (Carlton, Vic.) 2024-01; 29(1)
Abstract: Treatable traits is a personalized approach to the management of respiratory disease. The approach involves a multidimensional assessment to understand the traits present in individual patients. Traits are phenotypic and endotypic characteristics that can be identified, are clinically relevant and can be successfully treated by therapy to improve clinical outcomes. Identification of traits is followed by individualized and targeted treatment to those traits. First proposed for the management of asthma and chronic obstructive pulmonary disease (COPD) the approach is recommended in many other areas of respiratory and now immunology medicine. Models of care for treatable traits have been proposed in different diseases and health care setting. In asthma and COPD traits are identified in three domains including pulmonary, extrapulmonary and behavioural/lifestyle/risk-factors. In bronchiectasis and interstitial lung disease, a fourth domain of aetiological traits has been proposed. As the core of treatable traits is personalized and individualized medicine; there are several key aspects to treatable traits models of care that should be considered in the delivery of care. These include person centredness, consideration of patients' values, needs and preferences, health literacy and engagement. We review the models of care that have been proposed and provide guidance on the engagement of patients in this approach to care.
DOI: 10.1111/resp.14644
ORCID: 0000-0001-9890-3408
Journal: Respirology (Carlton, Vic.)
Start page: 24
End page: 35
PubMed URL: 38087840
ISSN: 1440-1843
Type: Journal Article
Subjects: airway disease
chronic respiratory disease
model of care
treatable traits
Pulmonary Disease, Chronic Obstructive/therapy
Respiratory Tract Diseases/therapy
Appears in Collections:Journal articles

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